I-hepatic hemangioma

I-hepatic hemangioma isisindo sesibindi esenziwe ngemithambo yegazi ebanzi (evulekile). Akuyona umdlavuza.

I-hepatic hemangioma uhlobo oluvame kakhulu lwesisindo esingadalwa ngumdlavuza. Kungaba ukukhubazeka kokuzalwa.

I-hepatic hemangiomas ingenzeka nganoma yisiphi isikhathi. Zivame kakhulu kubantu abaphakathi kweminyaka engama-30 kuya kwengama-50. Abesifazane bathola lezi zinqwaba kaningi kunamadoda. Uquqaba luvamise ukuba lukhulu ngosayizi.

Izingane zingathuthukisa uhlobo lwe-hemangioma ye-hepatic ebizwa ngokuthi yi-benign infantile hemangioendothelioma. Lokhu kwaziwa nangokuthi yi-multinodular hepatic hemangiomatosis. Lesi isimila esingavamile, esingenomdlavuza esixhunyaniswe namazinga aphezulu okwehluleka kwenhliziyo nokufa ezinganeni. Izinsana zivame ukutholakala ngesikhathi sezinezinyanga eziyisithupha ubudala.

Amanye ama-hemangiomas angadala ukopha noma aphazamise ukusebenza komzimba. Iningi alizivezi izimpawu. Ezimweni ezingavamile, i-hemangioma ingahle iqhume.

Ezimweni eziningi, lesi simo asitholakali kuze kuthathwe izithombe zesibindi ngesizathu esithile. Uma i-hemangioma idabuka, okuwukuphela kwesibonakaliso kungaba yisibindi esandisiwe.

Izingane ezine-hemignable hemangioendothelioma ezinobungozi zingaba:

• Ukukhula esiswini
• Ukushoda kwegazi
• Izimpawu zokwehluleka kwenhliziyo

Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwegazi
• I-CT scan yesibindi
• I-angiogram ye-hepatic
• I-MRI
• Ukukhishwa kwe-single-photon computed tomography (SPECT)
• I-Ultrasound yesisu

Iningi lalezi zicubu zelashwa kuphela uma kukhona ubuhlungu obuqhubekayo.

Ukwelashwa kwe-hemangioendothelioma yezinsana kuncike ekukhuleni nasekuthuthukeni kwengane. Le mithi elandelayo ingadingeka:

• Ukufaka into esitsheni segazi lesibindi ukuyivimba (ukuhlanganisa)
• Ukubopha (i-ligation) umthambo wesibindi
• Imithi yokwehluleka kwenhliziyo
• Ukuhlinzwa ukukhipha isimila

Ukuhlinzwa kungaphulukisa isimila enganeni uma kungukukodwa kwesibindi esisodwa. Lokhu kungenziwa noma ngabe ingane inesifo senhliziyo.

Imithi yokukhulelwa kanye ne-estrogen ingadala ukuthi lezi zicubu zikhule.

I-tumor ingahle iqhume ezimweni ezingavamile.

Isibindi hemangioma; I-hemangioma yesibindi; Cavernous hepatic hemangioma; I-hemangioendothelioma yezinsana; I-hemangiomatosis hepatic multinodular

• IHemangioma - angiogram
• IHemangioma - CT scan
• Izitho zohlelo lokugaya ukudla

UDi Bisceglie AM, uBefeler AS. Izimila hepatic kanye cysts. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 96.

IMendes BC, iTollefson MM, iBower TC. Izimila zemithambo yezingane. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 188.

I-Soares KC, Pawlik TM. Ukuphathwa kwesibindi hemangioma. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 349-354.